| Valley Christian Counseling Center Inc | |
|
1112 Nodak Dr S Fargo ND 58103-2366 | |
| (701) 232-6224 | |
| (701) 232-4687 |
| Full Name | Valley Christian Counseling Center Inc |
|---|---|
| Speciality | Social Worker |
| Location | 1112 Nodak Dr S, Fargo, North Dakota |
| Authorized Official Name and Position | Nicole Rostad (CO-CEO) |
| Authorized Official Contact | 7012326224 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Valley Christian Counseling Center Inc 1112 Nodak Dr S Fargo ND 58103-2366 Ph: (701) 232-6224 | Valley Christian Counseling Center Inc 1112 Nodak Dr S Fargo ND 58103-2366 Ph: (701) 232-6224 |
| NPI Number | 1467559427 |
|---|---|
| Provider Enumeration Date | 09/20/2006 |
| Last Update Date | 02/15/2024 |
| Certification Date | 02/15/2024 |
| Medicare PECOS PAC ID | 6709845654 |
|---|---|
| Medicare Enrollment ID | O20041006000696 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467559427 | NPI | - | NPPES |
| Provider Name | Jean Gullicks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871520635 PECOS PAC ID: 4587674676 Enrollment ID: I20060503000843 |
| Provider Name | Scott D Barnhardt |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699905018 PECOS PAC ID: 8628122769 Enrollment ID: I20110429000567 |
| Provider Name | Nicole R Holzworth |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801860184 PECOS PAC ID: 1759447758 Enrollment ID: I20160620000994 |
| Provider Name | Lexi A Kahnk |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427593524 PECOS PAC ID: 3779868989 Enrollment ID: I20170329002527 |
| Provider Name | Elizabeth Anne Conkins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366793606 PECOS PAC ID: 7911338710 Enrollment ID: I20200512000285 |
| Provider Name | Shannon Joy Heick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154726057 PECOS PAC ID: 7911317383 Enrollment ID: I20201113002185 |
| Provider Name | Naomi Elizabeth Erkenbrack |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396880571 PECOS PAC ID: 3476966375 Enrollment ID: I20210114001491 |
| Provider Name | Larae Marie Storer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376285262 PECOS PAC ID: 3072992528 Enrollment ID: I20220614001560 |
| Provider Name | Rhonda Marie Vannorman |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1598907461 PECOS PAC ID: 0749631414 Enrollment ID: I20240106000217 |
| Provider Name | Cybil Johnson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1982398798 PECOS PAC ID: 5991157877 Enrollment ID: I20240116003046 |
| Provider Name | Larry Jerome Watnemo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1063568301 PECOS PAC ID: 8325490022 Enrollment ID: I20240118001582 |
| Provider Name | Donna K Strandberg |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1407930324 PECOS PAC ID: 0941652101 Enrollment ID: I20240123004515 |
| Provider Name | Kristin Sharbono |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871976340 PECOS PAC ID: 4880037563 Enrollment ID: I20240209001174 |
| Provider Name | Sharon K Solum |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1962705459 PECOS PAC ID: 5092155721 Enrollment ID: I20240429002900 |
| Provider Name | Jordan Mooney |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497397111 PECOS PAC ID: 9234570003 Enrollment ID: I20240510000338 |
| Provider Name | Erin Lee Diciolla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457134678 PECOS PAC ID: 4587006903 Enrollment ID: I20240530000995 |
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Path Minnesota, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1202 Westrac Dr S Ste 400, Fargo, ND 58103 Phone: 701-280-9545 Fax: 701-451-9473 | |
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